Credentialing Specialist
Credentialing Specialist
Hourly Compensation Range: $28.00 - $30.00 per hour, Full-Time, Benefit Eligible
Profession: Healthcare Administration / Clinician Privileging/Credentialing
Location: Remote.
Travel: Minimal
About this Role
We are seeking a detail-oriented and proactive Credentialing Specialist to join our Credentialing team. This role is responsible for managing all aspects of the credentialing and reappointment process for clinicians within an assigned book of business. The Credentialing Specialist plays a critical role in ensuring clinicians are properly credentialed and privileged in accordance with hospital medical staff bylaws and regulatory standards, enabling them to provide care across designated hospital programs.
As a Credentialing Specialist, your work directly supports patient access to high-quality care by ensuring clinicians meet regulatory and hospital standards. You’ll be part of a collaborative team that values accuracy, accountability, and strong professional relationships across clinicians, medical staff offices, and internal departments.
If you are a motivated credentialing professional who thrives in a fast-paced, deadline-driven healthcare environment, we encourage you to apply.
What You’ll Do
Privileging & Reappointments
Process and prepare hospital medical staff privilege applications.
Examine, research, enter data, and gather required clinician documentation to support the credentialing process.
Complete credentialing and reappointment applications, monitor progress, and follow up to meet critical deadlines.
Obtain and verify documentation including medical education, residency, fellowship, NPDB, work history, and peer references.
Track hospital credentialing committee, Medical Executive Committee, and Board meeting dates to ensure timely approvals.
Maintain consistent communication with clinicians throughout each stage of the credentialing process
Clinician Record Management
Maintain and ensure accuracy of electronic clinician credentialing files.
Track medical licensure, DEA certification, malpractice coverage, and required renewals.
Enroll clinicians in NPDB Continuous Query.
Update internal databases (CRM, SharePoint, and other systems) to maintain current practitioner and facility data
Onboarding & Operational Support
Coordinate hospital orientation scheduling and communicate hospital training requirements.
Participate in internal matrix and implementation calls to provide credentialing updates.
Collaborate with internal teams, including Payor Enrollment, to support documentation and compliance needs
What You Bring
Required Qualifications:
Minimum of two (2) years of credentialing experience.
High School Diploma required; Associate’s degree preferred.
Strong organizational and time management skills with the ability to manage multiple priorities and meet deadlines.
Excellent written and verbal communication skills.
High attention to detail and ability to produce accurate, high-volume work.
Working knowledge of credentialing standards including NCQA, JCAHO, NPDB guidelines, and general licensing requirements
Preferred Qualifications:
Certified Provider Credentialing Specialist (CPCS) credential.
Experience in a Medical Staff Office environment.
Proficiency in Microsoft Office (Word, Excel, Access).
Experience with QGenda software.
Understanding of medical terminology
Why Join OBHG:
Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation’s largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
What We Offer - The Good Stuff:
A mission based company with an amazing company culture
Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources
Apply To This Job
Hourly Compensation Range: $28.00 - $30.00 per hour, Full-Time, Benefit Eligible
Profession: Healthcare Administration / Clinician Privileging/Credentialing
Location: Remote.
Travel: Minimal
About this Role
We are seeking a detail-oriented and proactive Credentialing Specialist to join our Credentialing team. This role is responsible for managing all aspects of the credentialing and reappointment process for clinicians within an assigned book of business. The Credentialing Specialist plays a critical role in ensuring clinicians are properly credentialed and privileged in accordance with hospital medical staff bylaws and regulatory standards, enabling them to provide care across designated hospital programs.
As a Credentialing Specialist, your work directly supports patient access to high-quality care by ensuring clinicians meet regulatory and hospital standards. You’ll be part of a collaborative team that values accuracy, accountability, and strong professional relationships across clinicians, medical staff offices, and internal departments.
If you are a motivated credentialing professional who thrives in a fast-paced, deadline-driven healthcare environment, we encourage you to apply.
What You’ll Do
Privileging & Reappointments
Process and prepare hospital medical staff privilege applications.
Examine, research, enter data, and gather required clinician documentation to support the credentialing process.
Complete credentialing and reappointment applications, monitor progress, and follow up to meet critical deadlines.
Obtain and verify documentation including medical education, residency, fellowship, NPDB, work history, and peer references.
Track hospital credentialing committee, Medical Executive Committee, and Board meeting dates to ensure timely approvals.
Maintain consistent communication with clinicians throughout each stage of the credentialing process
Clinician Record Management
Maintain and ensure accuracy of electronic clinician credentialing files.
Track medical licensure, DEA certification, malpractice coverage, and required renewals.
Enroll clinicians in NPDB Continuous Query.
Update internal databases (CRM, SharePoint, and other systems) to maintain current practitioner and facility data
Onboarding & Operational Support
Coordinate hospital orientation scheduling and communicate hospital training requirements.
Participate in internal matrix and implementation calls to provide credentialing updates.
Collaborate with internal teams, including Payor Enrollment, to support documentation and compliance needs
What You Bring
Required Qualifications:
Minimum of two (2) years of credentialing experience.
High School Diploma required; Associate’s degree preferred.
Strong organizational and time management skills with the ability to manage multiple priorities and meet deadlines.
Excellent written and verbal communication skills.
High attention to detail and ability to produce accurate, high-volume work.
Working knowledge of credentialing standards including NCQA, JCAHO, NPDB guidelines, and general licensing requirements
Preferred Qualifications:
Certified Provider Credentialing Specialist (CPCS) credential.
Experience in a Medical Staff Office environment.
Proficiency in Microsoft Office (Word, Excel, Access).
Experience with QGenda software.
Understanding of medical terminology
Why Join OBHG:
Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation’s largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
What We Offer - The Good Stuff:
A mission based company with an amazing company culture
Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources
Apply To This Job